Active NPI
Shannon Robert Rainey, M.D.
- Anesthesiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 058764
- Practice address
- 3651 Wheeler Rd
Augusta, GA 30909-6521 - Phone
- (210) 846-0726
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 058764 | GA | Primary |
Addresses
Primary practice location
3651 Wheeler Rd
Augusta, GA 30909-6521
Mailing address
934 Napiers Post Dr
Evans, GA 30809
Phone (706) 860-7593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187826041A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070219000352 | GA | Practitioner - Anesthesiology | 1456453661 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Anesthesia Consultants of Augusta LLC
Practice addresses (Care Compare)
351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 855-9860
Hospital & facility affiliations
- Doctors Hospital
- Burke Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Augusta, LLC | Anesthesiology | Current | Accepting new patients |
| Bcas, Inc. | Anesthesiology | Past | Accepting new patients |
| BDT Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383
635 Ronald Reagan Dr
Evans, GA 30809
Phone (706) 868-3100
569 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 466-4541
Interoperability endpoints
- shannon.rainey@hca5.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1881877793
Anesthesiology, GA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1265406904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 NAPIERS POST DR",
"city": "EVANS",
"state": "GA",
"postal_code": "30809",
"telephone_number": "706-860-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096521",
"telephone_number": "210-846-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "SHANNON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "058764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187826041A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.